Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

This evaluation takes stock of the two and a half year handover process that started in June 2011. The evaluation highlights both the operational strengths and weaknesses and identifies areas for improvement. The work aims to inform the replicability of the handover tools and approach. The evaluation finds that, at patient level, there has been no impact on the continuity of care and that gives a good indication of a sustainable and smooth take over by MoH.

The evaluation of the PUC (Congo Emergency Pool/ Pool D’urgence Congo) finds that the project, as a full epidemiological surveillance, assessment and response system is extraordinarily well structured, having developed both a technically sound complex methodology and working tools, with a capacity for reacting to epidemiological outbursts very swiftly and effectively. It also finds that there is no other international or national organisation with such impressive medical expertise and response capacity within the context.

In the last decade, while facing increasingly complex “projects”, MSF-OCP has chosen to add means to improve its interventions. This results in the actual growth syndrome of MSF-OCP HQ departments, which is also significantly impacting country coordination (CC) set-ups and means. New scenarios should be tested, notably for mono-projects (to revise), the idea being to reduce CC set-ups whenever possible. Resources' analyses highlight the importance of competent persons to follow (coordinators & key positions), including PCs, with a clearer career path.

The evaluation of the PUC (Congo Emergency Pool/ Pool D’urgence Congo) finds that the project, as a full epidemiological surveillance, assessment and response system is extraordinarily well structured, having developed both a technically sound complex methodology and working tools, with a capacity for reacting to epidemiological outbursts very swiftly and effectively. It also finds that there is no other international or national organisation with such impressive medical expertise and response capacity within the context.

In 2009/2010 following the decentralisation of HIV care to primary health care in Maputo City, the former MSF-OCG Alto Maé day hospital was transformed into the chronic care HIV referral centre Centro de Referência Alto Maé (CRAM) with a double purpose: 1) to provide a safety net for the health centres of Chamanculo health area for the clinical management of complex HIV patients that do not require hospitalisation and 2) to reduce the workload of Maputo’s referral hospitals.

This evaluation was conducted by Eric Goemaere and Heidi Becher on behalf of the Vienna Evaluation Unit.